Samantha Wagner
Samantha Wagner is a Social Worker in Rockford, Illinois. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
8616 Northern AveRockford, IL 61107-5309
Phone: (815) 332-8003
Fax: (815) 332-6090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X |
|---|
Record details
| NPI number | 1124524608 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 3, 2018 |
| Last updated in NPPES | April 3, 2018 |
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